ArticleJournal of cardiovascular development and disease2025
Initial Outcomes from a Minimally Invasive Cardiac Surgery-Off-Pump Coronary Artery Bypass Grafting (MICS-OPCAB) Programme: A Case Series of the First 50 Patients Single-Centre Experience.
Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMinimally invasive off-pump coronary artery bypass grafting (MICS-OPCAB) offers potential advantages over conventional sternotomy, including reduced trauma and faster recovery. This study evaluates the safety and feasibility of MICS-OPCAB at our centre.
methodsWe retrospectively analysed 50 consecutive MICS-OPCAB procedures performed via left anterior thoracotomy at our institution between January 2023 and June 2025. Data collected included patient demographics, operative details, and postoperative outcomes. Endpoints were 30-day mortality, conversion to sternotomy, and postoperative complications.
resultsThe cohort included 41 males (82%) with a mean age of 63.1 ± 8.7 years (range 40-80) and mean BMI 27.8 ± 4.3 kg/m
conclusionThese results demonstrate that MICS-OPCAB is a safe and feasible approach for selected patients requiring multivessel coronary artery bypass grafting. There are some technical challenges during the learning curve for which conversion to open surgery can confer good outcomes. Traversing the early learning curve can confer additional benefits to later patients.
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